Individual
MR. JASON RANDALL PELDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000676
SD
367500000X
Certified Registered Nurse Anesthetist
RO36615
SD
Other
Enumeration date
08/18/2006
Last updated
02/15/2012
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